HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/12/16 Permit Number:
ED
Building Permit Application AUG 0 P 2016
Planning and Development Services PERMITTENG
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial
Residential YES
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 5710 RAINTREE TRL FT PIERCE 34982
Legal Description- INDIAN RIVER ESTATES-UNIT 09-BLK 76 LOTS 8 AND 28(MAP 34/11 N)(OR 896-1917: 1568-1803: 1568-1803)
Property Tax ID#: 3402-610-0153-000-3 Lot No.8 &28
Site Plan Name: Block No. 76
Project Name: GERREN
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
TEAR OFF FLAT ROOF (1.6*K16) AND INSTALL NEW FLAT ROOF (15X16)
CONSTRUCTION INFORMATION:
Additional work toe performed under this permit—check all appy:
HVAC 0 Gas Tank []Gas Piping _Shutters ❑Windows/Doors
❑Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 288 SFt. of First Floor:
Cost of Construction: $ 2350.00 UtilitiesInSewer Septic Building Height: 1 STORY
OWNER/LESSEE: CONTRACTOR:
Name ROBERT GERREN Name: CHARLES RICHARDS
Address:5710 RAINTREE TRL Company: ALL AREA ROOFING
City: FT PIERCE State:FIL Address: 3921 S US HWY 1
Zip Code: 34982 Fax: City: FT PIERCE State: FL
Phone No.772-359-5820 Zip Code: 34982 Fax: 772-464-6600
E-Mail: Phone No. 772-464-6800
Fill in fee simple Title Holder on next page (if different E-Mail: JENNIFER@ALLAREAROOFING.COM
from the Owner listed above) State or County License: CCC1326177
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will,in all respects, perform the work
in accordance with the approved plans,the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to,your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commRrlcijqg work or recording our Notice of Commencement.
s
i ture of Owner/Lessee/Agent Signatu Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF STLUCIE
The forgoing instru ent was acknowledged before me The forgoing instrument was acknowledged before me
this L day of 20 I/j,-by this�day of 20 I�by
(Name of person acknowledging) (Namjof rson acknowledging Vk /9/4�
.
(Signature of Notary Public-State of Florida) (Signature of Notary
Public-State of Florida)
Personally Known V/OR Produced Identification Personally Known Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.C:1G00 6839 (Seal) Commission No.P7(?00'5939
yQeal)
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EXPIRES:June 20,2020 % :00 o� ES:June 20,202o
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS